NSLA Sign Up Form

Required*

Candidate's Name

Name *

First

Last

Address

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Contact Information

Name (copy) *

First

Last

Email Address *

Primary Phone *

Additional Phone

For Business: Billing Contact Information

Billing Contact Person

Phone

Email

Registration

Registration Type *

Additional Options

+$80 - Expedite Service fees (results will be available 3 business days after interview)
+$45 - Replacement NSLA Results

Please provide an email address for us to send official result letter to: *

Candidate's Background in Sign Language

How do you identify yourself? *

Age began to learn/acquire Sign Language *

Please enter a number from 0 to 150.

Please rate your Sign Language by selecting one of the choices* *

Are you left or right handed (dominant signing hand)?* *

Left
Right

Highest education completed *

Test Taker Guide Agreement

Sign Language Proficiency Interview in American Sign Language (SLPI:ASL) utilizes spontaneous, unrehearsed situations to measure real-world language proficiency scoring from No Function Skills to Superior Plus. The purpose of this interview is to measure what you are able to do with the language without the support of any translators, reference material, or assistance of any kind during the interview. Therefore, in order to continue with the test, please agree to the following guidelines and policies:

* I understand that no other than our Zoom recording is allowed. I will not use screen recording or screen capture apps/tools or messaging tools during the interview.

* I understand that I will not sign/or speak with anyone other than the proctor during the test or receive any advice or help from anyone during the interview.

* I understand that I will not use headphones, Air Pods, or such during the interview. I understand that I will not use sunglasses, any hat, or a baseball cap with a visor in the front of the face during the interview.

* I understand that I will not use violent, profanity, or inappropriate language during the interview.

*I understand that if I violate any of these rules, it may result in invalidating my test results and agreeing to these stated guidelines in the Test Take Guide.

Test Taker Guide Agreement *

I agree
I disagree

Schedule an Appointment

Preferred appointment day is the first step toward helping you schedule an appointment with one of our raters. An ASL Coordinator staff will need to contact our independent contract raters for their availability before an appointment date and time can be offered and scheduled. Please take a moment to visit our web page to better prepare your NSLA assessment including tips for candidates and frequently asked questions highlight with preparing for the remote interview.

Preferred date and time (1st choice)* *

Date

Time

Preferred date and time (2nd choice)* *

Date

Time

Preferred date and time (3rd choice)

Date

Time

Are you a State Employee? (including Oregon State University) *

Yes
No

If yes, enter your: *

Enter your *

Program *

PCA/Index codes *

Payment

**Interviews will not be scheduled until payment is confirmed.

How are you paying? *

SLPI:ASL SIGN UP FORM

Candidate's Name

Address

Contact Information

For Business: Billing Contact Information

Registration

Candidate's Background in Sign Language

Test Taker Guide Agreement

Schedule an Appointment

Payment